CERTIFICATE OF INSURANCE FOR RENTAL OF BEACH UMBRELLAS CHAIRS AND FOOTSTOOLS
PRODUCER 813-796-6666 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
Acordia SE, Central Fla Divsn
P.O. Box 31666
Tampa, FL 33631-3666
COMPANY
A
FIREMANS FUND-COMMERCIAL DB
INSURED
COMPANY
D
::j,J....,I,!:!:!:::!!!:!:!:!:!:!:lI:!!!!!!i!t!i!Iji!!t!i!!!!iiiit!i!i!iiiI!i!!!@]I!i!:!i!lHii!!:!:iI:i:!::ii:!:!:t::!:!:::::!::I!i!:I!@!i!i!!;!!!IIIi::::::I::::::::II::!i!i.I1I!UIIi}}I!1!i!!}tI;IM!!!!Illltt!i!i!ii:j!}!i!:j!::!:!:m:!:I!!i!!i!@!!!i,i!i!j!I!il!i!iI}!iji!i:i:IIili,:i:Ii:i!i!i!!:i:::::::::::i:::iii:::i:m:iMi,:l:i::::::::::i,mI!i,f::::i':
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Alexandra of Clearwater Beach
Inc. dba Pier 60 Concessions
10 Pier 60 Drive
Clearwater, FL 34630
COMPANY
B
Fla Restaurant Ass'n Workers
COMPANY
C
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MMIDDIYYI DATE IMMIDDIYYI
A GENERAL LIABILITY MZC80363131 2/1 5/98 2/15/99 GENERAL AGGREGATE 2000000
X COMMERCIAL GENERAL LIABILITY PRODUCTS - COM PlOP AGG $ 2000000
CLAIMS MADE 0 OCCUR PERSONAL & ADV INJURY $ 1000000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE 1000000
FIRE DAMAGE (Anyone flrel 100000
MED EXP (Anyone person) 5000
A AUTOMOBILE LIABILITY MZC80363131 2/15/98 2/15/99
COM81NED SINGLE LIMIT 1000000
ANY AUTO
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BOOIL Y INJURY
$
X NON-OWNED AUTOS (Per accldant)
895-02114
PROPERTY DAMAGE
AUTO ONLY, EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
2/15/98 2/15/99 EACH OCCURRENCE 1000000
AGGREGATE 1000000
1/01/98 1/01/99
--- -------'--_.._~,-----'------ -,ooooir
EL DISEASE - POLICY LIMIT $ 500000
EL DISEASE - EA EMPLOYEE 100000
GARAGE LIABILITY
ANY AUTO
A EXCESS LIABILITY
X UMBRELLA FORM
OTHER THAN UMBRELLA FORM
B WORKERS COMPENSATION AND
-EMPLOYERS' LIABILITY
XSC83316919
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
INCL
X EXCL
DESCRIPTION OF OPERATlONSILOCATIONSNEHICLESISPECIAL ITEMS
THE CITY OF CLEARWATER A MUNICIPALITY IS NAMED AS ADDITIONAL INSURED
AS RESPECTS GENERAL LIABILITY COVERAGE.
GENERAL LIABILITY COVERAGE EXCLUDES RENTAL OPERATIONS.
::"'itAtt!JII.'t!tt!tl!!t!t!tti!t:!'!ttt!t:!tttttltt!t!tJtttUt1ttlM!t!ti@n_.'lmittfilft!lif!i!tl!1:ttf!:tlf!:!:ff!i!1!if!i!i!1:!m!iff!i:i!i:i:i!1!i:it:l::m::::ffi:i:it:fil:tti:i!iffff
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF CLEARWATER, A MUNICI- EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
PALlTY, % CITY ATTY'S OFFICE ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
P.O. BOX 4748 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY
CLEARWATER FL 33758 OF Y KIND UPON THE COMPANY, S AGENTS OR REPRESENTATlV .
, AUTH lZ EP~~AT" . "lJA , />> ./l./
:iiall!:imia;ngH!ill!i1jll:tW!i!M:lt::i~i!rij:1r:!limm:i:illl:W111ri:ll:ilii!i:l!;l:r;l:W::::!1:1i::,~;;ii;i{t;:mii~I::~~trtl#~m~~.:.:':'::.;Nmlif..::